%0 Journal Article
%~ PubMed
%A Jiang, Hong
%A Li, Mu
%A Yang, Dongling
%A Wen, Li Ming
%A Hunter, Cynthia
%A He, Gengsheng
%A Qian, Xu
%T Awareness, Intention, and Needs Regarding Breastfeeding: Findings from First-Time Mothers in Shanghai, China.
%B Breastfeeding Medicine
%D 2012
%C United States
%I Mary Ann Liebert, Inc. Publishers
%V 7
%N 
%P 526-534
%@ 1556-8342
%X Abstract Background and Objectives: Despite efforts, a decline in breastfeeding rates has been documented in China recently. This study explored the awareness of the World Health Organization (WHO) guidelines for breastfeeding and intention to breastfeed among first-time mothers and identified the gap between mothers'' needs and perinatal care provision regarding breastfeeding promotion. Subjects and Methods: In total, 653 women at 5-22 gestational weeks were recruited from four community health centers in Shanghai, China. They completed a self-administered questionnaire at recruitment. Two focus group discussions were held among third-trimester pregnant women who had received prenatal education. Twenty-four in-depth interviews were conducted among postpartum mothers. Results: During early pregnancy, a substantial proportion of mothers were not aware of the nutritional value of breastmilk (40%) or the value of exclusive breastfeeding for 6 months (80%) or any breastfeeding for 24 months (98%). The awareness of the WHO guidelines for breastfeeding was associated with intention to breastfeed (adjusted odds ratio [OR] 2.67, 95% confidence interval [CI] 1.88, 3.78) or intention to breastfeed exclusively (adjusted OR 3.31, 95% CI 1.81, 6.06). In late pregnancy and postpartum, most mothers were still not fully aware of the breastfeeding recommendations and nutritional value of breastmilk. Limited communications with healthcare providers and lack of support for dealing with breastfeeding difficulties were reported. Conclusions: Low awareness of the WHO breastfeeding guidelines was found among first-time mothers in Shanghai. Awareness of breastfeeding guidelines was independently associated with mothers'' intention to breastfeed and intention to breastfeed exclusively. The health benefits of breastfeeding and the recommended duration of breastfeeding should be emphasized in prenatal education programs.
%Z FOR Codes: 111403


%0 Journal Article
%~ PubMed
%A Jiang, Hong
%A Qian, Xu
%A Li, Mu
%A Lynn, Henry
%A Fan, Yanyan
%A Jiang, Hongyi
%A He, Fengling
%A He, Gengsheng
%T Can physical activity reduce excessive gestational weight gain? Findings from a Chinese urban pregnant women cohort study.
%B The International Journal of Behavioral Nutrition and Physical Activity
%D 2012
%C United Kingdom
%I BioMed Central Ltd.
%V 9
%N 1
%P 12
%@ 1479-5868
%X ABSTRACT: BACKGROUND: Excessive gestational weight gain (GWG) poses negative impact on mothers and their children. It is important to understand the modifiable lifestyle factors associated with excessive GWG during pregnancy to guide future public health practice. Aim To investigate the association between physical activity during pregnancy and GWG of Chinese urban pregnant women. METHODS: A pregnant women cohort was established between 2005 and 2007 in Changzhou, China. Physical activity levels of pregnant women were assessed using pedometer in the 2nd and 3rd trimester, respectively. According to step counts, pregnant women were categorized into 4 different physical activity groups: Sedentary, Low Active, Somewhat Active and Active. The pregnant women were followed for eligibility and data collection from the 2nd trimester to delivery. Multiple linear regression and multiple binary logistic model were applied to determine the association between physical activity and GWG. RESULTS: Physical activity levels and GWG of 862 pregnant women were assessed, among them 473 (54.9%) experienced excessive GWG. The adjusted odds ratio (OR) was 0.59 (95%CI: 0.36 ~ 0.95) for excessive GWG in the Active group during the 2nd trimester and 0.66 (95%CI: 0.43 ~ 1.00) in the Somewhat Active group during the 3rd trimester, compared with the Sedentary group respectively. In the last two trimesters, the Active group had 1.45 kg less GWG, than the Sedentary group. The ORs of excessive GWG decreased with the increased level of physical activity (P < 0.05). CONCLUSION: This study suggests that pregnant women being physically active have less weight gain during pregnancy.
%Z FOR Codes: 111716 111402


%0 Book Section
%A Li, Mu
%A Dibley, Michael
%T Child and adolescent obesity in Asia
%B A Modern Epidemic
%D 2012
%C Australia
%I Sydney University Press
%V 
%N 
%P 171-190
%@ 9781920899851
%E Twigg, Stephen
%E Magnusson, Roger S
%E Baur, Louise
%X 
%Z FOR Codes: 111716 111704


%0 Journal Article
%~ PubMed
%A Chow, Maria Yui Kwan
%A Li, Mu
%A Quine, Susan
%T Client Satisfaction and Unmet Needs Assessment: Evaluation of an HIV Ambulatory Health Care Facility in Sydney, Australia.
%B Asia-Pacific Journal of Public Health
%D 2012
%C United States
%I Sage Publications, Inc.
%V 24
%N 2
%P 406-414
%@ 1941-2479
%X A mixed-methods approach study was conducted at an ambulatory HIV health care facility in Sydney during 2007/2008. A quantitative self-administered structured questionnaire survey (phase 1) was conducted to assess client satisfaction levels, followed by qualitative semistructured interviews (phase 2) to investigate reasons for satisfaction/dissatisfaction and unmet needs. The mean overall satisfaction score of the 166 respondents in phase 1 was high (86 out of 100). Participants were most satisfied with the "knowledge" and "attitudes" of health care providers (HCP) and "maintenance of confidentiality." They were least satisfied with "waiting time before consultation." "Knowledge of HCP" and "rapport, care, and trust towards HCP" emerged as most important aspects of satisfaction. The broad range of HCP and services provided at one location was particularly appreciated. Health care service evaluation by assessing client satisfaction using mixed methods provided valuable insight into health care service quality. It can be applied to a broader range of health care services.
%Z FOR Codes: 111709


%0 Journal Article
%~ PubMed
%A Yang, Tingzhong
%A Xu, Xiaochao
%A Li, Mu
%A Rockett, Ian R H
%A Zhu, Waner
%A Ellison-Barnes, Alejandra
%T Mental Health Status and Related Characteristics of Chinese Male Rural-Urban Migrant Workers.
%B Community Mental Health Journal
%D 2012
%C United States
%I Springer New York LLC
%V 48
%N 3
%P 342-351
%@ 1573-2789
%X To explore mental health status and related characteristics in a sample of Chinese male rural-urban migrants. Subjects were 1,595 male rural-urban migrant workers selected though a multi-stage sample survey conducted in two cities (Hangzhou and Guangzhou). Data were collected by means of a self-administered questionnaire. Both life and work stressors were examined. Stress and mental health status were measured by the Chinese Perceived Stress Scale (CPSS) and the Chinese Health Questionnaire (CHQ), respectively. Unconditional logistic regression analysis was performed to identify factors associated with probable mental disorders. There are approximately 120 million rural-urban migrants in China. The prevalence of probable mental disorders in the sample population was 24.4% (95% CI: 23.3-25.5%), which was higher than among urban residents (20.2%, 95% CI: 18.8-21.7%). Logistic regression analysis revealed that five characteristics were positively associated with risk for probable mental disorders: originating in the South (OR = 2.00; 95% CI = 1.02, 4.00), higher life stress (OR = 7.63; 95% CI = 5.88, 10.00), staying in the city for 5-9 months each year (OR = 2.56; 95% CI = 1.67, 3.85), higher work stress (OR = 2.56; 95% CI = 1.96, 3.33), and separation from wife (OR = 2.43; 95% CI = 1.61, 3.57). Employment in machinery and transportation (OR = 0.54; 95% CI = 0.36, 0.81) and higher self-worth (OR = 0.42; 95% CI = 0.28, 0.62) were negatively associated. Findings support an urgent need to develop specific policies and programs to address mental health problems among Chinese rural-urban migrants.
%Z FOR Codes: 111714


%0 Journal Article
%~ PubMed
%A Li, Mu
%A Eastman, Creswell J
%T The changing epidemiology of iodine deficiency.
%B Nature Reviews. Endocrinology
%D 2012
%C United Kingdom
%I Nature Publishing Group
%V 8
%N 7
%P 434-440
%@ 1759-5037
%X Globally, about 2 thousand million people are affected by iodine deficiency. Although endemic goitre is the most visible sign of iodine deficiency, its most devastating consequence is brain damage causing mental retardation in children. The relationship between iodine deficiency and brain damage was not clearly established until the 1980s when the term iodine deficiency disorders (IDDs), which encompass a spectrum of conditions caused by iodine deficiency, was introduced. This paradigm shift in the understanding of the clinical consequences of iodine deficiency led to a change in iodine deficiency assessment. The median urinary iodine excretion level has been recommended as the preferred indicator for monitoring population iodine deficiency status since 2001. The 2007 WHO urinary iodine data in schoolchildren from 130 countries revealed that iodine intake is still insufficient in 47 countries. Furthermore, about one-third of countries lack national estimates of the prevalence of iodine deficiency. The picture that has emerged from available data worldwide over the past two decades is that IDDs are not confined to remote, mountainous areas in developing countries, but are a global public health problem that affects most countries, including developed countries and island nations. The recognition of the universality of iodine deficiency highlights the need to develop and apply new strategies to establish and maintain sustainable IDD elimination and strengthen regular monitoring programmes.
%Z FOR Codes: 110306 111104 111706


%0 Journal Article
%~ PubMed
%A Yang, Tingzhong
%A Rockett, Ian R H
%A Li, Mu
%A Xu, Xiaochao
%A Gu, Yaming
%T Tobacco advertising, environmental smoking bans, and smoking in Chinese urban areas.
%B Drug and Alcohol Dependence
%D 2012
%C Ireland
%I Elsevier Ireland Ltd
%V 124
%N 1-2
%P 121-127
%@ 1879-0046
%X OBJECTIVES: To evaluate whether cigarette smoking in Chinese urban areas was respectively associated with exposure to tobacco advertising and smoking bans in households, workplaces, and public places. METHODS: Participants were 4735 urban residents aged 15 years and older, who were identified through multi-stage quota-sampling conducted in six Chinese cities. Data were collected on individual sociodemographics and smoking status, and regional tobacco control measures. The sample was characterized in terms of smoking prevalence, and multilevel logistic models were employed to analyze the association between smoking and tobacco advertising and environmental smoking restrictions, respectively. RESULTS: Smoking prevalence was 30%. Multilevel logistic regression analysis showed that smoking was positively associated with exposure to tobacco advertising, and negatively associated with workplace and household smoking bans. CONCLUSIONS: The association of smoking with both tobacco advertising and environmental smoking bans further justifies implementation of comprehensive smoking interventions and tobacco control programs in China.
%Z FOR Codes: 111716


%0 Journal Article
%~ PubMed
%A Yang, Tingzhong
%A Abdullah, Abu S
%A Rockett, Ian R H
%A Li, Mu
%A Zhou, Yuhua
%A Ma, Jun
%A Ji, Huaping
%A Zheng, Jianzhong
%A Zhang, Yuhong
%A Wang, Liming
%T Assessment of tobacco control advocacy behavioural capacity among students at schools of public health in China.
%B Tobacco control
%D 2011
%C United Kingdom, Australia
%I BMJ Group
%V 20
%N 1
%P 20-5
%@ 0964-4563
%X To evaluate student tobacco control advocacy behavioural capacity using longitudinal trace data.
%Z FOR Codes: 111712


%0 Journal Article
%~ PubMed
%A Li, Mu
%A Eastman, Creswell J
%T Neonatal TSH screening: is it a sensitive and reliable tool for monitoring iodine status in populations?
%B Best Practice & Research. Clinical Endocrinology & Metabolism
%D 2010
%C United Kingdom
%I Bailliere Tindall
%V 24
%N 1
%P 63-75
%@ 1532-1908
%X Iodine deficiency is the most common cause of preventable brain damage in the newborn. The indicators for assessing iodine nutritional status include urinary iodine excretion, thyroid size, thyroid stimulating hormone (TSH) and thyroglobulin (Tg) concentrations in the blood. Neonatal TSH concentration is increased when the supply of thyroid hormone and iodine from the maternal circulation to the foetus has been compromised. The World Health Organization (WHO) has suggested that when a sensitive assay is used on samples collected 3-4 days after birth, a <3% frequency of TSH concentrations >5 mIUl(-1) indicates iodine sufficiency in a population. However, many studies have attempted to apply the frequency of neonatal TSH values >5 mIUl(-1) in determining population iodine status and monitoring intervention programmes, and although some have proven to be successful, most have provided conflicting or uncertain data. This is due to the many technical issues that remain unresolved on the use of neonatal TSH screening for monitoring iodine status, making it doubtful as a sensitive and reliable quantitative tool. More research is required to resolve these issues. In the interim, WHO should consider withdrawing its current guidelines for neonatal TSH screening for monitoring iodine deficiency in populations.
%Z FOR Codes: 111403 110306


%0 Journal Article
%~ PubMed
%A Chow, M Y K
%A Quine, S
%A Li, M
%T The benefits of using a mixed methods approach - quantitative with qualitative - to identify client satisfaction and unmet needs in an HIV healthcare centre.
%B AIDS care
%D 2010
%C United Kingdom
%I Routledge
%V 22
%N 4
%P 491-8
%@ 1360-0451
%X Research into patient satisfaction with HIV ambulatory healthcare facilities is limited due to confidentiality restraints, the short history of the condition and the stigma attached. Furthermore, most satisfaction studies of this client group have not used mixed methods (quantitative with qualitative) despite its increasing use since the 1990s in healthcare research. This cross-sectional study demonstrates how a mixed methods approach is beneficial in assessing HIV client satisfaction and in identifying unmet needs in HIV healthcare. Conducted at the largest ambulatory HIV healthcare centre in Australia, this study consisted of two phases conducted sequentially: Phase One, a quantitative self-administered questionnaire survey, provided an overall statistical picture of satisfaction levels. This was followed by Phase Two, qualitative semi-structured face-to-face interviews, which enabled in-depth investigation of the reasons for satisfaction/dissatisfaction. Phase One had 166 respondents, giving a high response rate of 71%, while Phase Two had 22 participants. The study demonstrates the three advantages of using a mixed methods approach. Firstly, it increased the comprehensiveness of overall findings, by showing how qualitative data (Phase Two) provided explanations for statistical data (Phase One). Secondly, it expanded the dimensions of the research topic, as Phase Two enabled investigation of the determinants of satisfaction/dissatisfaction more broadly after assessing the client satisfaction levels in Phase One. Thirdly, it increased the methodological rigour as findings in both phases could be checked for consistency. Thus using a mixed methods approach can greatly enhance our understanding of client satisfaction in HIV/AIDS research.
%Z FOR Codes: 110309


%0 Book Section
%A Li, Mu
%A Chen, Z P
%A Eastman, C J
%T Healthcare service delivery in achieving sustained elimination of iodine deficiency disorders: a case study
%B Comprehensive Handbook of Iodine
%D 2009
%C United States
%I Elsevier
%V 
%N 
%P 825-834
%@ 9780123741356
%E Preedy, V R
%E Burrow, G N
%E Watson, R R
%X 
%Z FOR Codes: 111199


%0 Journal Article
%~ PubMed
%A Li, Mu
%A McKelleher, Natalie
%A Moses, Theto
%A Mark, John
%A Byth, Karen
%A Ma, Gary
%A Eastman, Creswell J
%T Iodine nutritional status of children on the island of Tanna, Republic of Vanuatu.
%B Public health nutrition
%D 2009
%C United Kingdom
%I Cambridge University Press
%V 12
%N 9
%P 1512-8
%@ 1368-9800
%X To evaluate the iodine nutritional status of children living on the island of Tanna, Republic of Vanuatu.
%Z FOR Codes: 111799


%0 Book Section
%A Eastman, C J
%A Li, Mu
%T The current state of iodine deficiency disorders (IDD) in Australia and the Pacific States
%B Comprehensive Handbook of Iodine
%D 2009
%C United States
%I Elsevier
%V 
%N 
%P 1227-1232
%@ 9780123741356
%E Preedy, V R
%E Burrow, G N
%E Watson, R R
%X 
%Z FOR Codes: 111199


%0 Journal Article
%~ PubMed
%A Eastman, Creswell J
%A Li, Mu
%A Cavalli-Sforza, Luca Tommaso
%T Iodine nutritional status in Tibet.
%B Lancet
%D 2008
%C United Kingdom
%I The Lancet Publishing Group
%V 372
%N 9642
%P 887-888
%@ 1474-547X
%X 
%Z FOR Codes: 111799


%0 Journal Article
%~ PubMed
%A Li, Mu
%A Chapman, Simon
%A Agho, Kingsley
%A Eastman, Creswell J
%T Can even minimal news coverage influence consumer health-related behaviour? A case study of iodized salt sales, Australia.
%B Health education research
%D 2007
%C United States
%I Oxford University Press
%V 23
%N 0
%P 543-8
%@ 0268-1153
%X Lack of iodine in the diet can cause a spectrum of conditions, known as iodine deficiency disorders (IDD). While iodized salt has been retailed in Australia since the 1960s, sales have remained low, at approximately 10% of total edible salt sales. Salt has never been promoted, advertised or discounted by retailers or manufacturers. Extensive news coverage of health issues has often been shown to influence consumer behaviour. But can even modest news coverage generate changes in consumer health-related behaviour? We report a significant increase (5.2%) in national iodized salt sales after a brief period of television and newspaper reports about IDD and the benefits of using iodized salt during and after the Australian National Iodine Nutrition Study in 2003 and 2004. We conclude that even brief news media exposure can influence health-related decisions.
%Z FOR Codes:


%0 Journal Article
%~ PubMed
%A Li, Mu
%A Byth, Karen
%A Eastman, Creswell J
%T Childhood overweight and obesity by Socio-economic Indexes for Areas.
%B The Medical journal of Australia
%D 2007
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd.
%V 187
%N 3
%P 195-195
%@ 1326-5377
%X 
%Z FOR Codes:


%0 Journal Article
%A Eastman, Creswell
%A Li, Mu
%T IODINE DEFICIENCY DISORDERS (IDD) IN THE ASIA PACIFIC REGION
%B Hot Thyroidology
%D 2007
%C Denmark
%I European Thyroid Association
%V 0
%N 
%P 0
%@ 
%X 
%Z FOR Codes:


%0 Journal Article
%~ PubMed
%A Li, Mu
%A Eastman, Creswell J
%A Waite, Kay V
%A Ma, Gary
%A Zacharin, Margaret R
%A Topliss, Duncan J
%A Harding, Philip E
%A Walsh, John P
%A Ward, Lynley C
%A Mortimer, Robin H
%A Mackenzie, Emily J
%A Byth, Karen
%A Doyle, Zelda
%T Are Australian children iodine deficient? Results of the Australian National Iodine Nutrition Study.
%B The Medical journal of Australia
%D 2006
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd.
%V 184
%N 4
%P 165-9
%@ 0025-729X
%X OBJECTIVE: To document the population iodine nutritional status in Australian schoolchildren. DESIGN AND SETTING: Cross-sectional survey of schoolchildren aged 8-10 years, based on a one-stage random cluster sample drawn from all Year 4 school classes in government and non-government schools in the five mainland Australian states of New South Wales, Victoria, South Australia, Western Australia and Queensland. The study was conducted between July 2003 and December 2004. PARTICIPANTS: 1709 students from 88 schools (881 boys and 828 girls), representing 85% of the estimated target number of students. The class participation rate was 65%. MAIN OUTCOME MEASURES: (i) Urinary iodine excretion (UIE) levels (compared with the criteria for the severity of iodine deficiency of the World Health Organization/International Council for the Control of Iodine Deficiency Disorders: iodine replete, UIE > or = 100 microg/L; mild iodine deficiency, UIE 50-99 microg/L; moderate iodine deficiency, UIE 20-49 microg/L; severe iodine deficiency, UIE < 20 microg/L); (ii) Thyroid volumes measured by ultrasound (compared with new international reference values). RESULTS: Overall, children in mainland Australia are borderline iodine deficient, with a national median UIE of 104 microg/L. On a state basis, NSW and Victorian children are mildly iodine deficient, with median UIE levels of 89 microg/L and 73.5 microg/L, respectively. South Australian children are borderline iodine deficient, with a median UIE of 101 microg/L. Both Queensland and Western Australian children are iodine sufficient, with median UIE levels of 136.5 microg/L and 142.5 microg/L, respectively. Thyroid volumes in Australian schoolchildren are marginally increased compared with international normative data obtained from children living in iodine sufficient countries. There was no significant association between UIE and thyroid volume. CONCLUSION: Our results confirm the existence of inadequate iodine intake in the Australian population, and we call for the urgent implementation of mandatory iodisation of all edible salt in Australia.
%Z FOR Codes:


%0 Journal Article
%~ Isi
%A Li, M.
%A Waite, K. V.
%A Ma, G.
%A Eastman, C. J.
%T Declining iodine content of milk and re-emergence of iodine deficiency in Australia.
%B Medical Journal of Australia
%D 2006
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd.
%V 184
%N 6
%P 307-307
%@ 0025-729X
%X 
%Z FOR Codes: 111101